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1093004251
MIRNA VILLALTA
LOS ANGELES, CA
NPI
1093004251
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2011-03-28
Last Update Date
2011-03-28
Business Address
-- MIRNA VILLALTA
711 S NEW HAMPSHIRE AVE
LOS ANGELES, CA 90005-1831
Phone number: 213-385-5100
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Mailing Address
-- MIRNA VILLALTA
711 S NEW HAMPSHIRE AVE
LOS ANGELES, CA 90005-1831
Phone number: 213-385-5100
Copy
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